CMS proposes changes to new-technology add-on payment amounts and criteria in the inpatient prospective payment system proposed rule for FY 2020

On 23 April 2019 the Centers for Medicare & Medicaid Services (CMS) issued the inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) prospective payment system proposed rule for fiscal year (FY) 2020 (Proposed Rule), to be published in the Federal Register on 3 May 2019.

In addition to the annual updates made to the IPPS and the LTCH each year as part of this Proposed Rule, CMS also proposes or asks for information about a number of changes to the new technology add-on payments (NTAPs) under the IPPS, including:

  • Changes to increase the calculated add-on payment for devices with NTAP designation.
  • A new NTAP pathway for devices that are part of the U.S. Food and Drug Administration's (FDA) Breakthrough Devices Program.
  • A request for comment on CMS' approach to reviewing the substantial clinical improvement criterion for NTAP or transitional pass-through payment applications under the IPPS and outpatient prospective payment system (OPPS), respectively.
  • Read More: CMS proposes changes to new-technology add-on payment amounts and criteria in the inpatient prospective payment system proposed rule for FY 2020


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